ALICIA MARIE JACKSON

CONWAY, SC
NPI1861072324
Former NameALICIA MARIE FADER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
ALICIA MARIE JACKSON MEd
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
ALICIA MARIE JACKSON MEd
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060